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SAN JOAQUIN Environmental Health Department <br /> C0UNiY <br /> e`c?er P" Greu.ne,s y,oros Fit <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: �J 11 Inspector: ��.��-f CONSTRUCTION <br /> Facility Address: 1 OZ W l l l OfC4 C�_ <br /> Well Address: Total Depth: <br /> WP# ( mC1 b `J Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> ,� Min 2" Annular EHD Seal Verified: El Yes ❑No <br /> Drilling Company: COA(,Oct <br /> Screen Length From: To: <br /> Driller Onsite: 6t Filter Pack From: To: <br /> Consultant: <br /> Geologist: Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ❑No COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ❑No casing <br /> If yes, location and distance: WT <br /> height <br /> SAMPLING ABOVE-GROUND <br /> Holding Temperature: con LE71CN <br /> Method: Ground SLrlacs <br /> Screening Method: groat <br /> Verified Chain of Custody: ❑ Yes El No �ft. <br /> tt. <br /> ft. <br /> SPOILS = <br /> ,vK <br /> 4 <br /> Contamination Noted: ❑ Yes ❑No <br /> If yes, spoils storage Location: <br /> ancon M = <br /> Covered: ❑ Yes ❑No <br /> If yes, material: <br /> GROUTING or DESTRUCTION Total Depth: <br /> Depth to Water: ft ft' <br /> Grout Material: <br /> MATERIALS/DEVELOPMENT <br /> Gallons of Grout Used: <br /> Casing Type: <br /> ❑Well Installation gWell Destruction Blank Feet Screen Feet <br /> Slot Size: <br /> ❑Boring Installation ❑Boring Destruction <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> ❑Pressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ElGravity 9S1Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 941b <br /> allons Bas vallons Bags <br /> Thickest Thinnest 4Bags Thickest Thinnest 4Bags Bentonite/Cement Mix 3% Mix 5% Mix <br /> 2.5 5 1 5 10 1 Bentonite per 47 Ib 1.41 2.47 <br /> s 10 10 20 2 Bentonite per 94 Ib 2.82 4.7 <br /> 7.5 15 3 15 30 3 <br /> 10 20 4 20 40 4 ,�Cd c <br /> 1?.5 <br /> 25 5 ?5 50 5 �•!!//'�VJ/iJ V� ,Jr" ��J_ <br /> 15 30 6 30 60 6 &4y"` . <br /> 17.5 35 7 35 70 7 <br /> ?0 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.sicehd.com <br />